Individual
MR. DEMAREO TYRONE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. SLP-CFY
Contact information
Practice address
530 FREMONT ST, WOODSTOCK, IL 60098-4013
(815) 670-4150
Mailing address
530 FREMONT ST, WOODSTOCK, IL 60098-4013
(815) 670-4150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242-002632
IL
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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